| Organization Name: | ABA BEARS, INC |
| NPI Number: | 1083057335 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES SLOAN (DIRECTOR) |
| Mailing Address: | 8780 19th St Unit 398 Alta Loma |
| State: | CA US |
| Postal Code: | 917014608 |
| Phone Number: | 8886182327 |
| Fax Number: | 8889182327 |
| NPI Enumeration Date: | 04/16/2013 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |